RENE ALBERT BOUCHER DO
NPI 1699769869
Pain Medicine - Interventional Pain Medicine in Bowling Green, KY

Active since September 02, 2005
165 NATCHEZ TRACE AVE, SUITE 205, BOWLING GREEN, KY 42103(270) 282-2024(270) 393-1913 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rene Albert Boucher Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENE ALBERT BOUCHER DO (NPI 1699769869) is an individual interventional pain medicine provider in Bowling Green, Kentucky, licensed in Kentucky (02561) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1699769869
Entity TypeIndividualFemale
Primary Taxonomy208VP0014X
Provider Legal NameRENE ALBERT BOUCHERCredential: DO
Location Address165 NATCHEZ TRACE AVE, SUITE 205Bowling Green, KY 42103-7940
Mailing Address350 Park St, Ste 203 BBowling Green, KY 42101-1784 · (270) 393-1912 · Fax (270) 393-1913
Fax(270) 393-1913
Sole ProprietorNo
Enumeration DateSeptember 2, 2005
Last NPPES UpdateSeptember 18, 2009
NPI 1699769869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in KY · 02561
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 02561 (KY)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 02561 (KY)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 02561 (KY)
165 NATCHEZ TRACE AVE, Bowling Green, KY 42103

Other Identifiers 3

Medicaid64980105KY
Medicare ID-Type Unspecified0560817KY
Medicare UPINF55027KY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
165 NATCHEZ TRACE AVE, SUITE 200
BOWLING GREEN, KY 42103
Orthopaedic Surgery
165 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103
Anesthesiology (Pain Medicine)
165 NATCHEZ TRACE AVE, SUITE 205
BOWLING GREEN, KY 42103
Nurse Practitioner
165 NATCHEZ TRACE AVE, SUITE 205
BOWLING GREEN, KY 42103
Nurse Practitioner
165 NATCHEZ TRACE AVE, STE 205
BOWLING GREEN, KY 42103
Orthopaedic Surgery
165 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103
Nurse Practitioner
165 NATCHEZ TRACE AVE, SUITE 205
BOWLING GREEN, KY 42103
Orthopaedic Surgery
165 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rene Boucher's NPI number?

The NPI number for Rene Boucher is 1699769869. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Rene Boucher located?

Rene Boucher practices at 165 Natchez Trace Ave Suite 205, Bowling Green, KY 42103. The listed phone number is (270) 282-2024.

What is Rene Boucher's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Rene Boucher was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.